Credentialing Specialist  
MTBC   More jobs from this company

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Job Title:   Credentialing Specialist
Category:   Software Development
Total Positions:   4
Job Location:   Islamabad, Rawalpindi
Gender:   Male
Minimum Education:   Bachelors
Career Level:   Experienced Professional
Minimum Experience:   2 Years
Apply By:   Oct 11, 2019
Job Description:
  • Review the approval and termination of professional provider contracts as they relate to the credentialing process.
  • Ensure the accurate and timely information for the purposes of re-credentialing, data analysis and directory generation as well as recommending changes to the credentialing criteria and processes.
  • Maintain all credentialing and re-credentialing policies and processes to ensure that they are in compliance with and all applicable regulations.
  • Hire, train, coach, counsel and evaluate performance of employees when needed.
  • Develop and implement departmental goals and objectives with input from staff members.
  • Develop and implement departmental policies and procedures that guide and support the provision of services.
  • Interact with all customers to ensure prompt and accurate communication as needed to provide the service expected and to meet the goals of the service.
  • Evaluate problems, and develops and implements solutions.
  • Develop new ideas and/or systems with innovation and creativity.
  • Lead by example and serves as a professional role model.
  • Support, encourage, and contribute to the professional growth of all department employees.
  • Responsible for the continuous assessment and improvement of the quality of care and services provided.
  • Adhere to all Compliance & Integrity Program rules and requirements
  • Manage all New Client Account Setups, Research and Development activities.
  • Manage VAS (value added services), provider enrollment, claims submission and various other projects for NASD Department.
  • Train and guide team members on new challenges in healthcare industry along with a keeping a close coordination with providers (clients).

Required Skills:
Good communication skills

Company Information
Company Name:  MTBC
Company Description:
MTBC was established in 1999. Headquartered in New Jersey, USA, it is a dynamic and rapidly growing multinational healthcare IT Company. Deloitte Technology Fast 500 ranked MTBC in its list of fastest growing technology companies of North America. The Company has attained tremendous growth in the short span of a few years, which is testament to well-implemented, technology-based processes and which also lays the foundations for productivity. MTBC is following a formula of long-term growth by combining and utilizing labor force increase, investment activity and scientific and technological progress. MTBC offers American physicians customized solutions that reflect the very best in practice management services available in the industry today. Our services maximize the power of the Internet and technology to give medical providers better control over scheduling and billing, total access to all of their billing information, and comprehensive practice-management reports, all the while reducing the cost factor. The organization's management envisions reinvesting most of its earned profits mainly towards IT, and developing various technology-based solutions that will completely replace manual processes. MTBC operates 24/6 with a workforce of more than 1000 employees operating in three shifts in Rawalpindi & Bagh (AJK). The Company is providing a platform to young professionals to learn and practice their innovative ideas in a healthy work environment.

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